Medicinos teorija ir praktika 2016 m. 22 tomas Nr. 5
TREATMENT OF UTERINE FIBROIDS WITH A. UTERINA EMBOLISATION: THE EXPERIENCE OF LITHUANIAN UNIVERSITY OF HEALTH SCIENCES HOSPITAL KAUNAS CLINICS, REPUBLICAN VILNIUS UNIVERSITY HOSPITAL, UNIVERSITY HOSPITAL OF KLAIPĖDA
Diana Uljanionok, Raimonda Bykovaitė, Karolina Eva Romeikienė, Danguolė Vildaitė, Audrius Širvinskas, Algimantas Šimkaitis, Rytis Stasys Kaupas
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Key words: uterine myomas, fibroids, leiomyomas, uterine artery embolization.
Aim. To evaluate the frequency and results of applying uterine artery embolization when treating uterine fibroids.
Research material and methods. The research retrospectively analyses the medical history of women (n = 13), who were treated in the LUHS hospital Kaunas Clinics, the Republican Vilnius University Hospital and the University Hospital of Klaipeda. Uterine artery embolization (UAE) was applied for these women when treating symptomatic uterine leiomyomas. The diagnosis of uterine leiomyoma (TLK D25) was confirmed by ultrasound or magnetic resonance and gynaecologic exam. A questionnaire was conducted aiming to evaluate if the women are content with the procedure and to evaluate the Dynamics of the symptomatic uterine myomas after the procedure.
Results. Before uterine artery embolization 61,5pct of women were diagnosed with anaemia. Before the procedure, all women complained having heavy and painful menstruation (p < 0,05), almost half 46,2pct had a feeling of pressure in the abdomen area. The ultrasound showed that after procedure, the fibroids reduced in size for 76,9pct of women. None of the patients
needed to repeat the embolization. All of the patients reviewed the procedure positively. Painful and heavy menstruation, pressure in the abdomen area decreased for all after uterine artery embolization. Anaemia remained for only 1 out of 8 women who had it before.
Conclusions. Treating uterine fibroids with uterine artery embolization is applied rarely even in the largest hospitals in Lithuania. All of the women reviewed the procedure positively. In 76,9pct of the cases the size of the fibroid reduced after uterine artery embolization and only 7,6pct of the patients required operating after uterine artery embolization.
October 6, 2016 Accepted:
November 28, 2016